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Individual
MS. CORONDA TYEAST CARTER
Active
Individual
MS. CORONDA TYEAST CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
IMF79317
CA
106H00000X
Marriage & Family Therapist
IMF55564
CA
390200000X
Student in an Organized Health Care Education/Training Program
IMF55564
CA
Other
Enumeration date
03/05/2007
Last updated
04/03/2017
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